TY - JOUR T1 - Evaluation of paediatric home oxycapnography for patients with respiratory and complex multisystem disorders JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2020.1225 VL - 56 IS - suppl 64 SP - 1225 AU - Joe Madge AU - Molla Imaduddin Ahmed AU - Prakash Patel AU - Ben Elkington AU - Helen Hickey AU - Louise Mogford AU - Kay Calvert AU - Kamini Jain Y1 - 2020/09/07 UR - http://erj.ersjournals.com/content/56/suppl_64/1225.abstract N2 - Background: Oxycapnography enables non-invasive continuous monitoring of O2 and CO2 levels. These studies allow evaluation of adequacy of breathing and can aid clinical management. Performing these studies at home avoids the need for overnight hospital admission. We established a home oxycapnography service in June 2019.Aim: To evaluate the feasibility and clinical effectiveness of home oxycapnography service to monitor children with complex multisystem disorders and/or long term ventilationMethod: Parents were educated on performing oxycapnography at home in physiologist led clinics. Oximetry was performed with RAD97™ (Masimo, USA) oximeters; transcutaneous CO2 was measured with TCM5 FLEX Monitors (Radiometer® UK). Patients were categorised by referral indication. Results were discussed in virtual clinics to formulate management plans. Patient/parent experience was evaluated.Results: From June 2019 – January 2020, 60 oxy-capnography studies were performed; 43 were performed at home and 17 as inpatients. Thirty studies were done to monitor ventilation adequacy and 22 studies were done to investigate nocturnal hypoventilation. Four patient categories had >10 referrals (Neurodisability, Neuromuscular, Congenital Cardiac and Genetic), suggesting a diverse patient cohort. Median study duration was 6.57 +/- 2.20 hours. The study led to change in management in 41.6% cases. Patient/parent feedback has been encouraging so far. A formal feedback using questionnaires is underway.Conclusion: Home overnight oxycapnography can be a useful alternative to inpatient studies to monitor the respiratory status of children with complex multisystem disorders.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 1225.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -